| NPI | 1003223033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103011) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80802) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2023-03-15 |